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A school-based mental health program for traumatized Latino immigrant children
Sheryl H Kataoka1, Bradley D Stein, Lisa H Jaycox
1University of California, Los Angeles, USA. skataoka@ucla.edu
Journal of the American Academy of Child and Adolescent Psychiatry
|February 22, 2003
Summary
A school mental health program using cognitive-behavioral therapy (CBT) significantly improved trauma and depression symptoms in Latino immigrant students exposed to community violence. This pilot study shows school-based interventions are effective for traumatized youth.
Area of Science:
- Child and Adolescent Psychiatry
- School Psychology
- Trauma-Informed Care
Background:
- Latino immigrant students face unique challenges, including exposure to community violence.
- Trauma-related mental health issues like depression and PTSD are prevalent in this population.
- School settings offer a crucial venue for delivering mental health interventions.
Purpose of the Study:
- To pilot-test a school-based mental health program for Latino immigrant students exposed to community violence.
- To evaluate the feasibility and effectiveness of a group cognitive-behavioral therapy (CBT) intervention.
- To assess the program's impact on trauma-related depression and posttraumatic stress disorder (PTSD) symptoms.
Main Methods:
- Quasi-experimental study involving 198 students (3rd-8th grade) with trauma-related symptoms.
- Intervention group received an eight-session, Spanish-language, group CBT program.
- Waitlist control group received no immediate intervention; parents/teachers received support.
Main Results:
- The intervention group showed significantly greater improvement in PTSD and depressive symptoms compared to the waitlist group at 3-month follow-up.
- The program was successfully implemented and evaluated within the school setting.
- A modest decline in trauma-related mental health problems was observed.
Conclusions:
- A collaborative, trauma-focused CBT program was developed for Latino immigrant students and families.
- School-based delivery by clinicians is feasible and effective for traumatized youth.
- The pilot test supports the use of this program to address mental health needs in vulnerable student populations.